Fatourechi-Alsharif, Mitra M

Fatourechi-Alsharif, Mitra M is an individual health care provider with primary practice located at 1110 W La Palma Ave Suite #2, Anaheim CA 92801-2821. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Fatourechi-Alsharif, Mitra M can be contacted via phone (714) 635-7246.

Contact Information

Primary practice address
1110 W La Palma Ave Suite #2 Anaheim CA 92801-2821
Phone: (714) 635-7246
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A108327 California
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A108327 California

Profile Details

NPI number 1962616607
LBN Legal business name Fatourechi-Alsharif, Mitra M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Nov 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962616607 NPPES
Minnesota MEDICAID 332437200

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